To: Board of Supervisors
From: Executive Office
Meeting Date: September 12, 2023
|
Department Contact: |
Cherie Johnson |
Phone: |
707-463-4441 |
|
Department Contact: |
Emma Saucedo |
Phone: |
707-463-4441 |
|
Item Type: Consent Agenda |
|
Time Allocated for Item: N/A |
Agenda Title:
title
Approval of Amendment to BOS Agreement Number 22-249 with Public Risk Innovation, Solutions, and Management (PRISM) for the PRISMHealth Employee Benefits Program, in the Amount of $0, to Remove the Existing PRISMHealth Memorandum of Understanding (MOU) in the Agreement, and Replace with the Most Current PRISMHealth MOU, Approved by the PRISMHealth Committee on June 28, 2023
End
Recommended Action/Motion:
recommendation
Approve amendment to BOS Agreement Number 22-249 with Public Risk Innovation, Solutions, and Management (PRISM) for the PRISMHealth Employee Benefits Program, in the amount of $0, to remove the existing PRISMHealth Memorandum of Understanding (MOU) in the Agreement, and replace with the most current PRISMHealth MOU, approved by the PRISMHealth Committee on June 28, 2023; authorize the Chief Executive Officer or designee to approve and sign future amendments to the Agreement that may update the process or services but do not impact the price of the Agreement, until such time as the Board directs the Chief Executive Officer, or Designee, to withdraw from the pool; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
On October 4, 2022, the Board approved Agreement Number 22-249.
Summary of Request:
The County has been a member of the PRISM Joint Power Authority (formerly CSAC) since 1979. As a member, the County can request membership to any of the PRISM programs. On January 1, 2023, the County’s Self-Funded Health Plan became a member of the PRISMHealth Employee Benefits program, a healthcare purchasing pool created by the PRISM Joint Power Authority, that provides its members with cost-effective healthcare options by using the shared risk pool approach to create value and stability and secures the lowest possible fixed costs from premier carrier partners and combines similar risk profiles in a financially stable healthcare purchasing pool.
The PRISMHealth MOU was originally adopted in 2003 and was last amended in 2007. On June 28, 2023, the PRISMHealth Committee (the Committee), which governs the PRISMHealth program, approved final amendments to the PRISMHealth MOU. The Committee found it necessary to update the MOU to bring clarity and better represent how the PRISMHealth program now operates. The amended MOU removes, updates, or clarifies language in regard to Premiums, Assessments/Dividends, Period of Commitment, Maintenance and Effort, Application to Program, Coverage Documents, Program Funding, Claims Administration, Withdrawal, Late Payments, Liaison with the Authority and Effective Date.
The Executive Office Health Benefits Division requests approval from the Board to remove the PRISMHealth MOU in Agreement Number 22-249, and replace with the most current PRISMHealth MOU, amended on June 28, 2023.
Alternative Action/Motion:
Return to staff with further direction.
Does This Item Support the General Plan? Yes
Strategic Plan Priority Designation: A Safe and Healthy County
Supervisorial District: All
vote requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
|
source of funding: 0715 |
budgeted in current f/y: Yes |
|
current f/y cost: $20,514,964 (est.) |
if no, please describe: |
|
annual recurring cost: $20,514,964 (est.) |
revenue agreement: No |
|
budget clarification: The employee benefits plan is a calendar year plan, budgeted over two fiscal years. The estimated f/y cost includes administration of the plan and employee salary and benefits. |
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
|
CEO Liaison: Executive Office |
|
|
|
CEO Review: Choose an item. |
|
|
CEO Comments:
FOR COB USE ONLY
|
Executed By: Deputy Clerk |
Final Status:Item Status |
|
Date: Date Executed |
Executed Item Type: item Number: |
|
|
|
|
|
|